David A Bradley, DDS Valid NPI

Individual provider · General Practice Dentistry · Adamsville, TN

NPI

1962541789

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DS4159 (TN)

Sex

Male

Sole proprietor

No

Enumerated

2007-02-06

Last updated

2007-07-08